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N � 1111111111111111111 <br /> ANNUAL REPORT <br /> PERMITTEE NAME: Elam Construction,Inc. RECEIVED <br /> PERMIT NO.: M- IT 7q /G G APR 14 2000 <br /> OPERATION NAME: 8,FmvE7-r1s 4^gvFL PT <br /> Division of Minerals&Geology <br /> ANNIVERSARY DATE: SeP'f 41 ITT? <br /> ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br /> COUNTY: DEero FAR) <br /> According to C.R.S. 34-32-116(3)(a), each year, on the anniversary date of the permit, an operator shall <br /> submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br /> reclamation accomplished to date and during the preceding year, new disturbances that are anticipated <br /> to occur during the upcoming year, reclamation that will be performed during the coating year, the <br /> dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br /> Please attach your revised annual report map and written report to this annual report. Please <br /> note that an adequately labeled map that clearly delineates and includes the above elements may <br /> suffice for a written report. <br /> Please type or print the current contact person's name, mailing address, and phone number in the space <br /> provided: <br /> Contact Name: Tf/oMAS X. 40611E Company: F47M COA1577etJ4 TvL. <br /> Address: /7Z5 So. 77'i Soiree A Phone No.: ( 970 ) 2 4 Z -5370 <br /> Grind ! url�{ien CO &/so/ FAX No.: ( 970 ) 24:5- 77/4P <br /> If there are additional comments and/or information that should be provided to the Division, please <br /> provide it on a separate sheet and attach it to this report form along with your map and/or written <br /> report. <br /> Q1 r✓� e4zli 00 <br /> er <br /> Date <br /> INSTRUCTIONS ON BACK <br /> M WERMHWASTERDOCUMENISW-AF-01 <br />